GILMA LIZAIDA RIVAS
NPI 1104472711
Nurse Practitioner - Family in Bowie, MD

Active since August 11, 2019PECOS EnrolledAccepts Medicare Assignment
12520 FAIRWOOD PKWY, BOWIE, MD 20720(301) 262-2300(844) 888-1044 Get Directions Write a Review

NPPES record last updated: November 15, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 15, 2025, Oct 28, 2019, Aug 11, 2019 (3 updates tracked since 2019).

About Gilma Lizaida Rivas NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GILMA LIZAIDA RIVAS (NPI 1104472711) is an individual family provider in Bowie, Maryland, licensed in Maryland (R194206) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1104472711
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameGILMA LIZAIDA RIVAS
Location Address12520 FAIRWOOD PKWYBowie, MD 20720-6343
Mailing Address12520 Fairwood PkwyBowie, MD 20720-6343 · (301) 262-2300 · Fax (844) 888-1044
Fax(844) 888-1044
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 11, 2019
Last NPPES UpdateNovember 15, 20253 updates tracked since enumeration
NPPES CertifiedNovember 15, 2025
NPI 1104472711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MD · R194206
12520 FAIRWOOD PKWY, Bowie, MD 20720

Other Identifiers 1

OtherR194206MD · State License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Gilma Lizaida Rivas is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2264864099
PECOS Enrollment IDI20191118001125
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
88 services51 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
64 services64 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
45 services40 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
25 services18 patients
Detection test by immunoassay technique for influenza virus 87400
An immunoassay test for influenza virus is a procedure that identifies the presence of the flu virus in your body. It uses your body's immune response to detect specific proteins (antigens) associated with the virus. This helps in early and accurate diagnosis of influenza.
24 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20720 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
12520 FAIRWOOD PKWY
BOWIE, MD 20720
Nurse Practitioner (Family)
12520 FAIRWOOD PKWY
BOWIE, MD 20720

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gilma Rivas's NPI number?

The NPI number for Gilma Rivas is 1104472711. It was assigned to this individual provider in the NPPES registry on August 11, 2019.

Where is Gilma Rivas located?

Gilma Rivas practices at 12520 Fairwood Pkwy, Bowie, MD 20720. The listed phone number is (301) 262-2300.

What is Gilma Rivas's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Gilma Rivas enrolled in Medicare?

Yes. Gilma Rivas is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Gilma Rivas was last updated on November 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.